MS. MELISSA CLARK (NPI# 1902084858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902084858 |
| Entity Type | Individual |
| Full Name | MS. MELISSA CLARK |
| Credential | R.N. |
| Practice Address |
3251 West 9th Street Waterloo IA 50702 |
| Mailing Address |
5700 25th Avenue Drive Vinton IA 52349 |
| Practice Telephone | 3192342893 |
| Mailing Telephone | 3194723325 |
| Enumeration Date | 2008-02-02 |
| Last Update Date | 2008-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
108837 | IA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0074435 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902336753 | Melissa Lynn Clark | Audiologist | 69 Allen St Ste 1, Rutland, VT 05701-4564 | 2017-06-14 |
| 1245764638 | Melissa Clark | Social Worker | 2906 F St, Unit 6860, Eureka, CA 95502-4101 | 2017-04-12 |
| 1861843328 | Melissa Clark | Case Manager/Care Coordinator | 21 Seneca Dr, Horseheads, NY 14845-1082 | 2016-06-27 |
| 1982054862 | Melissa A Clark | Social Worker | 3142 W Fullerton Ave Apt 1, Chicago, IL 60647-7997 | 2016-06-21 |
| 1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
| 1063799682 | Melissa Newkam Clark | Occupational Therapist | 5745 Old Winder Hwy Ste C, Braselton, GA 30517-1637 | 2011-11-10 |
| 1114160199 | Melissa Ann Clark | Licensed Practical Nurse | 113 Cheney St, Syracuse, NY 13207 | 2009-04-07 |
| 1447462189 | Melissa Kipp Clark | Audiologist | 5304 Manatee Ave W, Bradenton, FL 34209-3743 | 2007-05-04 |
| 1548398506 | Melissa Darlene Clark | Licensed Practical Nurse | 105 Waverly Plz, Waverly, TN 37185-1531 | 2007-03-01 |
| 1760546428 | Melissa Ann Clark | Speech-Language Pathologist | 520 Grange Rd, Cave City, AR 72521 | 2006-12-20 |
| Street Address |
3251 WEST 9TH STREET |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669552964 | Janice Marie Neal | Registered Nurse | 3251 W 9th St, Waterloo, IA 50702-5310 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525054 | Jennifer Stromgren | Registered Nurse | 2246 82nd Ave, Ottumwa, IA 52501-9180 | 2020-07-15 |
| 1831731298 | Heather Jean Wilson | Registered Nurse | 305 S Wise St, Paton, IA 50217-7735 | 2019-10-16 |
| 1205136363 | Gloria Gene Mcmillan | Registered Nurse | 306 W Stone Ave, Fairfield, IA 52556-2247 | 2010-10-23 |
| 1568994440 | Traci Grady | Registered Nurse | 408 1st St Nw, Mason City, IA 50401 | 2017-03-30 |
| 1972913978 | Heidi Bradley | Registered Nurse | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2014-04-30 |
| 1235579517 | Jennifer Lynn Davidson | Registered Nurse | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2013-07-01 |
| 1164725339 | Judith Ann Gonzales | Registered Nurse | 1001 Office Park Rd, Suite 113, West Des Moines, IA 50265-2587 | 2010-12-09 |
| 1326227224 | Terry M Ideker | Registered Nurse | 515 E Broadway, Council Bluffs, IA 51503-4419 | 2007-10-26 |
| 1619174562 | Martha Lutenegger | Registered Nurse | 407 N 4th St, Burlington, IA 52601-5229 | 2007-07-02 |
| 1295878411 | Anabel Lee Flaherty | Registered Nurse | 1441 W Central Park Ave, Davenport, IA 52804-1707 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.